NPIMap

Organization Active NPI

Texas Alliance Medical Group, PA

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1306964986
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TEXAS ALLIANCE MEDICAL GROUP, PA
Practice address
6535 Southwest Fwy
Houston, TX 77074-2207
Phone
(713) 981-8184
Fax
(713) 981-8118
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Leslie Allison, M.D.
Title
Medical Director
Phone
(281) 977-8365

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

6535 Southwest Fwy
Houston, TX 77074-2207

Mailing address

14770 Memorial # 200
Houston, TX 77079-5252
Phone (281) 493-5535

Other identifiers 5

IdentifierTypeStateIssuer
00438NOtherTXBCBS
00438NOtherTXBC/BS
080591306MedicaidTX
CG5146OtherTXRAIL ROAD MEDICARE
080591305MedicaidTX

Other names 1

  • Doctors Clinic Houston Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0910238Texas Alliance Medical Group, PA6535 Southwest Freeway, Houston, TX 77074Certificate of waiverJan 13, 2027

National Provider Directory

National Provider Directory
Tax ID family
TX Alliance Medical Gro8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610928000000",
    "number": "1306964986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14770 MEMORIAL # 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770795252",
            "telephone_number": "281-493-5535",
            "fax_number": "281-493-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6535 SOUTHWEST FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770742207",
            "telephone_number": "713-981-8184",
            "fax_number": "713-981-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS ALLIANCE MEDICAL GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A",
        "authorized_official_last_name": "ALLISON",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "281-977-8365",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00438N",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "00438N",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080591306",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "CG5146",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080591305",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors Clinic Houston",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Doctors Clinic Houston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.